Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $60.86 / $355.59	Facility		$3.03	$60.86	$355.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $60.86 / $101.10	Professional		$36.50	$60.86	$101.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $84.98 / $170.00	Professional		$67.51	$84.98	$170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $124.64 / $322.93	Facility		$106.40	$124.64	$322.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $63.57 / $151.08	Professional		$55.28	$63.57	$151.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $96.31 / $96.31	Professional		$96.31	$96.31	$96.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.31 / $124.64 / $168.29	Facility		$96.31	$124.64	$168.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $141.36 / $239.04	Professional		$79.31	$141.36	$239.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $144.75	Facility		$70.80	$70.80	$144.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $94.21	Professional		$51.68	$51.68	$94.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $74.27	Facility		$70.80	$70.80	$74.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $70.80 / $70.80	Professional		$51.68	$70.80	$70.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $83.60 / $109.59	Professional		$60.80	$83.60	$109.59
United Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $56.53 / $85.06	Professional		$37.68	$56.53	$85.06